A re-review of capsule endoscopy of patients referred for deep enteroscopy changes their management
Conclusion A review of referral VCE studies led to a change in management in a large percentage of patients, particularly when the indication was polyp, mass, or ulcer. Patients referred for deep enteroscopy should have their capsule re-read by an enteroscopist prior to scheduling the procedure. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Medulloblastoma Metastatic to the Pancreas: A Case Report
We present a case of metastatic medulloblastoma to the pancreas in a 41-year-old woman with recurrent cerebellar medulloblastoma. Upon presentation, CT of the abdomen and pelvis showed a 2.2 x 2.6cm hypodense pancreatic head mass associated with obstruction of the pancreatic duct. Endosonography with fine needle aspiration (EUS-FNA) was performed with cytology showing a malignant small cell neoplasm consistent with medulloblastoma, morphologically identical to the primary cerebellar medulloblastoma. Metastatic medulloblastoma to the pancreas is an extremely rare form of a secondary pancreatic tumor, with very few case repo...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Metastatic carcinoid from occult primary masquerading as Crohn's disease
This report demonstrates the nonspecific nature of metastatic carcinoid tumor and how its presentation can masquerade as more common gastrointestinal system abnormalities. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Percutaneous radiofrequency ablation with internally cooled wet electrodes versus cluster electrodes for the treatment of single medium-sized hepatocellular carcinoma
Conclusion For the treatment of medium-sized HCCs, percutaneous RFA using ICW electrodes results in lower rate of local tumor progression and fewer serious complications, compared to cluster electrodes. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Paradigm shift away from open surgical necrosectomy toward endoscopic interventions for necrotizing pancreatitis
Publication date: Available online 12 October 2014 Source:Gastrointestinal Intervention Author(s): Jae Hee Cho , Yoon Jae Kim , Yeon Suk Kim Interventions for infected and symptomatic walled-off pancreatic necrosis (WOPN) have undergone a paradigm shift away from open surgical necrosectomy toward endoscopic intervention such as transmural drainage and necrosectomy. Recent multicenter studies and evidence-based guidelines have suggested the safety and efficacy of endoscopic transmural necrosectomy (ETN) for management of complicated WOPN. In consideration of the inherent properties and the risks associated with this ...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Stenting for malignant gastric outlet obstruction: Current status
Publication date: Available online 13 October 2014 Source:Gastrointestinal Intervention Author(s): Wei Zhong Zhou , Zheng Qiang Yang Malignant gastric outlet obstruction is most commonly seen in the patients with cancers of the pancreas, gallbladder, biliary tree, stomach, and duodenum. The placement of self-expanding metal stents under fluoroscopy or endoscopy has proven to be an alternative to surgical treatment and to have the advantages of being less invasive, having a lower complication rate, and allowing a quicker recovery. In this review article, we provide an overview of current fluoroscopic and endoscopic st...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Multimodality treatment for locally advanced esophageal cancers
Publication date: Available online 13 October 2014 Source:Gastrointestinal Intervention Author(s): Yuri Jeong , Jong Hoon Kim For several decades, there have been numerous efforts to improve poor outcomes of locally advanced esophageal cancer. Multimodality treatment with neoadjuvant chemoradiotherapy (CRT) followed by surgery has been accepted as a standard treatment for locally advanced, potentially resectable esophageal cancers in many institutions based on several recent randomized trials and meta-analysis. In addition, there has been some controversy about the role of additional surgery in patients who responded...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Looking beyond lymph nodes: Beware of lurking pseudoaneurysms!
We describe a case of a superior mesenteric artery–superior mesenteric vein (SMA/SMV) pseudoaneurysm that was initially misinterpreted as an enlarging hypervascular nodal metastasis on surveillance computed tomography (CT) in a patient who had undergone ileal carcinoid resection. When the case was discussed at the specialist multidisciplinary meeting to consider surgical resection, it was noted that the apparent “hypervascular node” on CT had a signal void character on magnetic resonance imaging, which is atypical for a lymph node. Coronal CT reformat demonstrated a vascular origin from the superior mesenteric trunk....
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Bariatric embolization for the treatment of obesity
Publication date: Available online 18 October 2014 Source:Gastrointestinal Intervention Author(s): Charles Y. Kim Embolization of the left gastric artery with the intent of decreasing hunger, termed bariatric embolization, has experienced a recent surge of attention in the literature and at medical conferences. This endovascular treatment for obesity has demonstrated promising data as a potentially new and effective minimally invasive treatment for obesity. The goal of this review article is to discuss the background, rationale, and existing data on this new topic. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Small bowel intervention and application of enteroscopy for altered small bowel anatomy –Endoscopic advanced therapy using double balloon enteroscopy-
Publication date: Available online 18 October 2014 Source:Gastrointestinal Intervention Author(s): Masaaki Shimatani , Norimasa Fukata , Ryo Suzuki , Sachi Miyamoto , Kota Kato , Toshiyuki Mitsuyama , Hideaki Miyoshi , Tsukasa Ikeura , Makoto Takaoka , Kazuichi Okazaki The management in patients with small bowel obstruction distal to the third part of the duodenum and altered gastrointestinal anatomy is challenging. Until recently, surgery had been the mainstay of treatment for obstruction, which however had posed a risk of serious complications. The difficulty of endoscopic approach into the deep area of int...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Palliative Self-expandable Metallic Stent Placement for Colorectal Obstruction caused by an Extracolonic Malignancy
Publication date: Available online 18 October 2014 Source:Gastrointestinal Intervention Author(s): Shuntaro Yoshida , Hiroyuki Isayama , Kazuhiko Koike Endoscopic stenting with a self-expandable metallic stent (SEMS) is widely accepted for the management of colorectal malignant obstruction. This procedure is effective for both palliative purposes and as a bridge to surgery. Malignant colorectal obstruction (MCRO) can arise from colorectal cancer (CRC) or advanced extracolonic malignancy (ECM), including gastric, pancreatobiliary, small bowel, endometrial gynecologic, or urinary malignancies. In patients with an ECM,...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
What is the best way for EUS-FNA? How to arrange the needle and negative pressure
Conclusions The score of reverse-beveled needle was better than soft type of needle. Slow pull technique may be useful for a bloody tumor, but sometimes less specimen. We should select the EUS-FNA method based on the relevant patient and tumor characteristics. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
Effect of liver volume in morbidity and mortality after elective transjugular intrahepatic portosystemic shunt
Conclusion Overall, LV was not correlated with major adverse events within 6 months after elective TIPS. However, those patients requiring OLT after TIPS had significantly smaller LV than those not requiring OLT after TIPS. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research
